Provider Demographics
NPI:1760096283
Name:JOSEPH, DEONQUEL K (LPC)
Entity Type:Individual
Prefix:MRS
First Name:DEONQUEL
Middle Name:K
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1604 BELLE CT
Mailing Address - Street 2:
Mailing Address - City:MARRERO
Mailing Address - State:LA
Mailing Address - Zip Code:70072-4206
Mailing Address - Country:US
Mailing Address - Phone:504-914-1060
Mailing Address - Fax:
Practice Address - Street 1:3308 TULANE AVE STE 305
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-7191
Practice Address - Country:US
Practice Address - Phone:550-466-2106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-02
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7162101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health